Energy Geneyus Inc | |
1701 E Lake Ave Ste 165 Glenview IL 60025-2037 | |
(224) 501-9708 | |
Not Available |
Full Name | Energy Geneyus Inc |
---|---|
Speciality | Counselor |
Location | 1701 E Lake Ave Ste 165, Glenview, Illinois |
Authorized Official Name and Position | Brad Jeffrey Novak (DIRECTOR) |
Authorized Official Contact | 8473477678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Energy Geneyus Inc 8500 Linder Ct Skokie IL 60077-2016 Ph: (847) 347-7678 | Energy Geneyus Inc 1701 E Lake Ave Ste 165 Glenview IL 60025-2037 Ph: (224) 501-9708 |
NPI Number | 1992288039 |
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Provider Enumeration Date | 09/14/2018 |
Last Update Date | 07/01/2022 |
Certification Date | 07/01/2022 |
Medicare PECOS PAC ID | 6800236597 |
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Medicare Enrollment ID | O20240429001178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992288039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Brad Novak |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639666746 PECOS PAC ID: 2264881952 Enrollment ID: I20240429001422 |
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